You are here

Inspection Summary


Overall summary & rating

Outstanding

Updated 1 November 2018

Dawson Lodge provides accommodation and personal care for up to 43 older people, some of whom are living with dementia. The home is set in its own grounds near to local facilities and shops. The accommodation comprises a large lounge and dining room which overlooks, and has direct level access to the landscaped gardens. At the time of our inspection there were 42 people living at the home.

The inspection was unannounced and was carried out on 29 August 2018 by a lead inspector, a second inspector and an expert by experience. An expert by experience is someone who has experience of using, or has cared for someone who uses this type of service. The lead inspector returned on 31 August 2018 to complete the inspection.

Dawson Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the home is run.

People and their relatives consistently told us they thought the home was extremely well run. The registered manager was visible and approachable and was interested in what people had to say. Reviews and surveys included exceptional feedback and the home was highly rated in the most recent survey.

The provider and registered manager had a positive vision for the home which promoted person centred care within a happy environment. The registered manager promoted an open culture where feedback was welcomed to help drive continuous improvement within the home which was supported by the senior management team. The provider had received many awards for delivering high standards in care.

The registered manager worked pro-actively with the local community to provide innovative opportunities to enhance people’s quality of life. Intergenerational programmes encouraged fun interaction between children and people living at Dawson Lodge which developed learning and reduced stigma around dementia.

There was a strong person-centred culture within the home. Staff took time to listen to people and their relatives to help understand their life stories and what was important to them, and to develop individual plans of care.

There was a vibrant, homely and relaxed atmosphere at Dawson Lodge. People and their relatives told us consistently that the staff were exceptionally kind, caring and helpful and went the extra mile to ensure their needs were met. Staff took time to offer calm and gentle reassurance if people became upset or anxious.

All staff shared responsibility for providing a wide range of fun and meaningful activities which met people’s preferences, and responded spontaneously to ‘golden moments’ when people showed an interest in something. People were empowered and encouraged to share their ideas and contribute to the running of the home.

Staff had completed an end of life care programme at a local college to develop skills and knowledge which supported them to deliver sensitive and compassionate palliative care. This was confirmed by health care professionals. Relatives appreciated the practical and emotional support they received when their loved ones were nearing the end of their lives.

Staff spoke very highly of the registered manager. They felt extremely well supported, listened to and valued by the management team. There were a number of initiatives to help develop team working and to reward staff and recognise their contributions to the home.

Relatives told us they felt welcomed, valued and respected by staff. They could visit at any time and staff always had time to talk to them ab

Inspection areas

Safe

Good

Updated 1 November 2018

The service remains safe.

Effective

Good

Updated 1 November 2018

The service remains effective.

Caring

Outstanding

Updated 1 November 2018

The service is outstanding in caring.

People, relatives and health care professionals consistently told us the all the staff were very kind, compassionate, helpful and thoughtful. Feedback on a national care website was all very positive and showed relatives thought staff were extremely caring and made time to listen to people.

Staff went the extra mile to ensure people and their relatives felt welcomed, valued and important. People were treated with dignity and respect and staff encouraged people to maintain their independence.

All staff, no matter what their role, were skilled at identifying spontaneous opportunities to engage people in conversation or respond to �golden moments.�

Responsive

Outstanding

Updated 1 November 2018

The service was outstanding in responsive.

There was a strong, person centred approach to caring for people, and staff involved them and their relatives in deciding how they would like to receive their care. Staff took time to listen to people and their relatives and find creative ways to understand people�s life stories and what was important to them. Staff went the extra mile to help people to achieve their hopes and wishes.

Staff had received intensive training and had developed a strong understanding of delivering compassionate end of life care which they had embedded into practice. Relatives were also cared for compassionately and received practical and emotional support during and after the end of their loved ones� lives.

There was a proactive approach to providing opportunities for people to engage in activities and events which met their personal preferences and interests. All staff understood their shared responsibilities for engaging people in stimulating activities and enabling them to contribute to the day to day life in the home if they wished to.

Well-led

Outstanding

Updated 1 November 2018

The service is outstanding in well-led.

There was excellent leadership within the home supported by a robust senior management structure within Anchor. The provider and registered manager both promoted a culture of improvement and strived for an excellent standard of care and quality of life for people.

A wide range of opportunities were in place to enable people to feedback their views about the home and the most recent survey showed their rating was much higher than average.

The registered manager pro-actively engaged with the local community, identifying innovative opportunities to enhance people�s daily lives and increase access to information and education around dementia.

Staff spoke extremely highly of the registered manager who led by example. They felt supported, valued and appreciated and enjoyed working at the home.